WENDY J BRUNSMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000475

License Status

NOT RENEWED

Business

First Name

WENDY J

Last Name

BRUNSMAN

Business Name

WENDY J BRUNSMAN

Original Issue Date

11/08/1991

Effective Date

11/08/1991

Expiration Date

03/01/2002

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006